How well do we recognise non-motor symptoms in a British Parkinson's disease population?
Although awareness of non-motor symptoms in Parkinson's disease (PD) has recently increased, little is known about their recognition and treatment in routine clinical practice. We therefore applied non-motor rating scales for dementia, depression, anxiety and excessive daytime sleepiness to a c...
| Main Authors: | , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2011
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| _version_ | 1826291637500772352 |
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| author | Hu, M Cooper, J Beamish, R Jones, E Butterworth, R Catterall, L Ben-Shlomo, Y |
| author_facet | Hu, M Cooper, J Beamish, R Jones, E Butterworth, R Catterall, L Ben-Shlomo, Y |
| author_sort | Hu, M |
| collection | OXFORD |
| description | Although awareness of non-motor symptoms in Parkinson's disease (PD) has recently increased, little is known about their recognition and treatment in routine clinical practice. We therefore applied non-motor rating scales for dementia, depression, anxiety and excessive daytime sleepiness to a community-ascertained cohort of 202 PD patients. Hospital case notes were reviewed for evidence that the non-motor problems had been recognized and whether any action had been taken to ameliorate or assess these symptoms. The prevalence of each non-motor problem was as follows: dementia 25.3% (95% CI 19.0, 32.4), depression 37.3% (95% CI 30.6, 44.4), anxiety 31.3% (95% CI 25.0, 38.2), excessive daytime sleepiness 59.4% (95% CI 52.2, 66.3). However, these features were only recognised in 27.2, 38.7, 9.5, and 12.8%, respectively. We did not identify any specific factor that predicted under-recognition. Our study shows that when rating scales are applied to formally assess for non-motor symptoms a large clinical 'iceberg effect' emerges with the majority of symptoms going unrecognised and untreated. |
| first_indexed | 2024-03-07T03:02:24Z |
| format | Journal article |
| id | oxford-uuid:b1647a2b-6a06-40ab-93d8-db4a287a1b39 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T03:02:24Z |
| publishDate | 2011 |
| record_format | dspace |
| spelling | oxford-uuid:b1647a2b-6a06-40ab-93d8-db4a287a1b392022-03-27T04:03:43ZHow well do we recognise non-motor symptoms in a British Parkinson's disease population?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:b1647a2b-6a06-40ab-93d8-db4a287a1b39EnglishSymplectic Elements at Oxford2011Hu, MCooper, JBeamish, RJones, EButterworth, RCatterall, LBen-Shlomo, YAlthough awareness of non-motor symptoms in Parkinson's disease (PD) has recently increased, little is known about their recognition and treatment in routine clinical practice. We therefore applied non-motor rating scales for dementia, depression, anxiety and excessive daytime sleepiness to a community-ascertained cohort of 202 PD patients. Hospital case notes were reviewed for evidence that the non-motor problems had been recognized and whether any action had been taken to ameliorate or assess these symptoms. The prevalence of each non-motor problem was as follows: dementia 25.3% (95% CI 19.0, 32.4), depression 37.3% (95% CI 30.6, 44.4), anxiety 31.3% (95% CI 25.0, 38.2), excessive daytime sleepiness 59.4% (95% CI 52.2, 66.3). However, these features were only recognised in 27.2, 38.7, 9.5, and 12.8%, respectively. We did not identify any specific factor that predicted under-recognition. Our study shows that when rating scales are applied to formally assess for non-motor symptoms a large clinical 'iceberg effect' emerges with the majority of symptoms going unrecognised and untreated. |
| spellingShingle | Hu, M Cooper, J Beamish, R Jones, E Butterworth, R Catterall, L Ben-Shlomo, Y How well do we recognise non-motor symptoms in a British Parkinson's disease population? |
| title | How well do we recognise non-motor symptoms in a British Parkinson's disease population? |
| title_full | How well do we recognise non-motor symptoms in a British Parkinson's disease population? |
| title_fullStr | How well do we recognise non-motor symptoms in a British Parkinson's disease population? |
| title_full_unstemmed | How well do we recognise non-motor symptoms in a British Parkinson's disease population? |
| title_short | How well do we recognise non-motor symptoms in a British Parkinson's disease population? |
| title_sort | how well do we recognise non motor symptoms in a british parkinson s disease population |
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